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Web-Based Tobacco Cessation Interventions and Digital Inequality across US Racial/Ethnic Groups.

Abstract：

Introduction:Internet-based tobacco cessation programs have increased in use and popularity in recent years. To examine evidence for racial/ethnic digital inequality in web-only tobacco cessation services offered by US tobacco quitlines, we conducted an analysis of quitline enrollees in five states. We hypothesized that racial/ethnic minorities would demonstrate lower enrollment and utilization of a web-only tobacco cessation program. Methods:The sample includes enrollees into five state quitlines whose service options included a web-only program in 2015 (N=32,989). Outcomes included web-entry into the quitline, web-only enrollment, establishment of a web account, and the number of times users logged into the program. Regression models tested associations with race/ethnicity. Results:Compared with Whites, African Americans, Hispanics, American Indians/Alaska Natives, and "others" were less likely to enter the quitline via the web (Ps<.01) and enroll in a web-only (vs counseling) program (Ps<.01). Among web-only program enrollees, all racial/ethnic minority groups were significantly less likely than Whites to establish an online account (Ps<.03), and African Americans were less likely than Whites to log in to the web-only service (P<.01). Conclusions:This study suggests that digital inequalities exist in web-based tobacco cessation services. Findings have implications for the development and implementation of digital tobacco interventions for racial/ethnic minority communities. The proliferation of digital tobacco interventions could increase disparities, as members of racial/ethnic minority groups may not engage in these interventions. Implications:The proliferation of digital interventions has the potential to increase tobacco-related disparities, as members of racial/ethnic minority groups may not enroll in, or engage in, such interventions. As the field moves to digitize tobacco interventions, we must remain cognizant of persistent digital inequalities and the potential for widening racial/ethnic tobacco cessation disparities.

journal_name

Ethn Dis

journal_title

Ethnicity & disease

authors

Webb Hooper M,Carpenter KM,Salmon EE

doi

10.18865/ed.29.3.495

subject

Has Abstract

pub_date

2019-07-18 00:00:00

pages

495-504

issue

eissn

1049-510X

issn

1945-0826

pii

ed.29.3.495

journal_volume

pub_type

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Web-Based Tobacco Cessation Interventions and Digital Inequality across US Racial/Ethnic Groups.